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All Journal Hearty : Jurnal Kesehatan Masyarakat Manuju : Malahayati Nursing Journal Jurnal Medika Malahayati Jurnal Formil (Forum Ilmiah) Kesmas Respati Jurnal Pendidikan dan Konseling JURNAL KESEHATAN BHAKTI HUSADA Jurnal Ners MAHESA : Malahayati Health Student Journal Proceedings of the International Conference on Nursing and Health Sciences Jurnal Antara Abdimas Keperawatan Jurnal Antara Abdimas Kebidanan Jurnal Ilmu Keperawatan dan Kebidanan
Cusmarih, Cusmarih
STIKes Abdi Nusantara
Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Mathematics Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Hubungan Dukungan Keluarga dengan Tingkat Kecemasan pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa di Rumah Sakit Primaya Bekasi Barat Cusmarih, Cusmarih; Perdana, Bima Putra
MAHESA : Malahayati Health Student Journal Vol 5, No 12 (2025): Volume 5 Nomor 12 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i12.19775

Abstract

ABSTRACT Chronic renal failure (CKD) is a progressive decline in kidney tissue function so that the remaining kidney mass is no longer able to maintain the body's internal environment (Ariga, 2020). According to WHO (World Health Organization) data, the prevalence of kidney failure in the world according to ESRD Patients (End-Stage Renal Disease) in 2017 was 2,786,000 people, in 2019 it was 3,018,860 people and in 2020 it was 3,200,000 people. From these data, it can be concluded that there is an increase in the morbidity rate of kidney failure patients every year by 6%. Around 78.8% of chronic kidney failure patients in the world use dialysis therapy for survival (Ariga, 2020). To determine the relationship between family support and anxiety levels in chronic kidney failure patients undergoing hemodialysis at Primaya Hospital, West Bekasi in 2024. This research method is quantitative using a cross sectional approach. The analysis used is univariate analysis and bivariate analysis. The population in this study was all patients with chronic kidney failure from December 2024 to January 2025. The research location was carried out at Primaya Hospital, West Bekasi, for 4 weeks from December 2024 to January 2025. Based on the results of Bivariate Analysis with the Chi-Square test, it was found that respondents who had high family support (score > 40) had 25 (69.4%) non-anxious levels of anxiety, 6 (6.7%) respondents who experienced mild anxiety and there was no data on respondents with moderate anxiety and severe anxiety. Likewise, respondents who had moderate family support (score 21-39) experienced mild levels of anxiety, namely 3 (8.3%) respondents and 2 (5.5%) respondents experienced moderate anxiety and there was no data on respondents who were not anxious and had severe anxiety. Then no data was found on respondents with low levels of family support (score <20).  There is an influence between family support and the level of anxiety in chronic kidney failure patients undergoing hemodialysis at Primaya Hospital, West Bekasi in 2024. In the Chi-square test, the P value was obtained which showed a value of 0.000, which means P value <0.05. Keywords: Hypertension, Elderly, and Foot Massage ABSTRAK Gagal ginjal kronik(GGK) merupakan suatu penurunan fungsi jaringan ginjal secara progresif sehingga masa ginjal yang masih ada tidak mampu lagi mempertahankan lingkungan internal tubuh (Ariga, 2020). Menurut Data WHO (World Health Organization) mengemukakan bahwa prevalensi gagal ginjal di dunia menurut ESRD Patients (End-Stage Renal Disease) pada tahun 2017 sebanyak 2.786.000 orang, tahun 2019 sebanyak 3.018.860 orang dan tahun 2020 sebanyak 3.200.000 orang. Dari data tersebut disimpulkan adanya peningkatan angka kesakitan pasien gagal ginjal tiap tahunnya sebesar sebesar 6 %. Sekitar 78,8% dari pasien gagal ginjal kronik di dunia menggunakan terapi dialisis untuk kelangsungan hidupnya (Ariga, 2020). Untuk mengetahui hubungan dukungan keluarga dengan tingkat kecemasan pada pasien gagal ginjal kronik yang menjalani hemodialisa di rumah sakit primaya bekasi barat tahun 2024. Metode penelitian ini adalah kuantitatif dengan menggunakan pendekatan cross sectional. Analisis yang digunakan yaitu analisisi univariat dan analisis bivariat. Populasi dalam penelitian ini adalah seluruh pasien gagal ginjal kronik pada bulan Desember 2024 hingga Januari 2025. Tempat penelitian dilakukan di Rumah Sakit Primaya Bekasi Barat dilakukan selama 4 minggu pada bulan Desember 2024 hingga Januari 2025. Berdasarkan hasil Analisis Bivariat dengan uji Chi-Square diketahui bahwa responden yang memiliki dukungan keluarga tinggi (skor >40) mempunyai tingkat kecemasan tidak cemas sebanyak 25 (69,4%), responden yang mengalami kecemasan ringan sebanyak 6 (6,7%) responden dan tidak terdapat data responden dengan cemas sedang dan cemas berat. Begitu juga dengan responden yang meililiki dukungan keluaga sedang (skor 21-39) mengalami tingkat kecemasan yang ringan yaitu 3 (8,3%) responden dan 2 (5,5%) responden  mengalami kecemasan sedang dan tidak terdapat data responden tidak cemas dan cemas berat. Kemudian tidak ditemukan data responden dengan tingkat dukungan keluarga rendah (skor <20). Ada pengaruh hubungan dukungan keluarga dengan tingkat kecemasan pada pasien gagal ginjal kronik yang menjalani hemodialisa di Rumah Sakit Primaya Bekasi Barat tahun 2024. Pada uji Chi-square, di dapatkan hasil  P Value yang menunjukkan nilai 0.000 yang berarti P Value <0.05. Kata Kunci: Gagal Ginjal Kronik, Dukungan Keluarga, Tingkat Kecemasan, Hemodialisa
ANALISIS FAKTOR FAKTOR YANG BERHUBUNGAN DENGAN KECEMASAN IBU HAMIL BERDASARKAN ASPEK PSIKOLOGIS DI MASA PANDEMI COVID-19 DI KABUPATEN BEKASI Ummu Habibah; Lusi Noviyanti; Cusmarih Cusmarih
Jurnal Ilmu Keperawatan dan Kebidanan Vol 13, No 1 (2022): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v13i1.1289

Abstract

ABSTRAKLatar belakang - Pandemi COVID -19 membuat perubahan yang signifikan terhadap kondisi psikologi di masa kehamilan. Kasus Covid-19 diIndonesia pada bulan Januari bertambah 12.001 menjadi 1.078.314 kasus. Di Indonesia, terdapat 107.000 (28,7%) ibu hamil yang mengalami kecemasan dalam menghadapi persalinan. Kecemasan akan berdampak negatif pada ibu hamil sejak masa kehamilan hingga persalinan. Dampak tersebut dapat membahayakan ibu dan janin.Metode - Desain penelitian yang digunakan adalah Chi-Square dan regresi bergandaHasil - Hasil penelitian didapatkan bahwa ibu hamil yang mengalami cemas sebesar  (47,5%)  dari ibu hamil yang tidak mengalami kecemasan yaitu (52,5%). Tidak ada korelasi yang signifikan secara statistik antara usia, latar belakang pendidikan, tingkat pendapatan, dan tingkat paritas, hal ini mengandung arti bahwa tingkat kecemasan tidak dipengaruhi oleh faktor-faktor terkait tersebut. Hasil multivariate hanya ada 1 variabel yang menjadi kandidatyaitu pendidikan sebagai proteksi.Simpulan -  Ibu hamil yang mengalami kecemasan selama pandemi COVID-19 masih cukup tinggi hanya berbeda lebih rendah 5 % dari ibu yang tidak mengalami kecemasan. Tidak ada variabel secara signifikan yang berhubungan dengan kecemasan pada ibu hamil. Kata kunci : kecemasan; wanita hamil; COVID-19  ABSTRACTBackground - .The COVID-19 pandemic has made significant changes to the psychological state during pregnancy. Covid-19 cases in Indonesia in January are increased by 12,001 to 1,078,314 cases. In Indonesia, there are 107,000 (28.7%) pregnant women who experience anxiety in facing childbirth. Anxiety will have a negative impact on pregnant women from pregnancy to delivery. These impacts can harm the mother and fetus.Methods - The designed study used is the Chi-Square and multiple regressionResults - .The results showed that pregnant women who experienced anxiety were (47.5%) from pregnant women who did not experience anxiety, namely (52.5%). There is no statistically significant correlation between age, educational background, income level, and parity level, this means that the level of anxiety is not influenced by these related factors. In multivariate results, there is only one candidate variable, namely education as protection.Conclusion - Pregnant women who experience anxiety during the COVID-19 pandemic are still quite high, only 5% lower than mothers who do not experience anxiety. There is no significant variable associated with anxiety in pregnant women. Keywords: anxiety and pregnant women, COVID-19
Hubungan Tindakan Suction Terhadap Perubahan Saturasi Oksigen pada Pasien Pneumonia Yang Terpasang Ventilator di Ruang ICU RSUD Cilincing Tahun 2025 Sulistiani, Indah Rizqi; Cusmarih, Cusmarih
Jurnal Ners Vol. 10 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55443

Abstract

Latar Belakang: Pasien dengan pneumonia berat sering mengalami gangguan pertukaran gas dan penumpukan sekret (lendir) berlebih di saluran pernapasan. Kondisi ini menyebabkan mereka membutuhkan bantuan pernapasan menggunakan ventilator mekanik untuk memastikan oksigenasi optimal dan mengurangi beban kerja pernapasan. Untuk menjaga jalan napas tetap bersih dan terbuka, tindakan endotracheal suctioning (penghisapan lendir) menjadi prosedur penting dan rutin dilakukan di ICU. Suction yang efektif membantu mencegah obstruksi jalan napas, memperbaiki oksigenasi, dan mengurangi risiko komplikasi serius seperti Ventilator Associated Pneumonia (VAP). Tujuan: Untuk mengetahui hubungan tindakan suction terhadap perubahan saturasi oksigen pada pasien pneumonia yang terpasang ventilator di ruang ICU RSUD Cilincing Tahun 2025. Metode Penelitian: Penelitian penelitian ini menggunakan desain penelitian kuantitatif observasional analitik dengan pendekatan Pre-experimental design tipe One-Group Pretest-Posttest Design, dengan jumlah sampel 30 sampel analisis bivariat menggunakan uji statistik non-parametrik Uji Wilcoxon. Hasil Penelitian: Hasil penelitian pada hubungan Pre Test dan Post Test dengan menggunakan Uji Wilcoxon Signed-Rank Test yaitu sebesar 0,000 (< 0,05) atau lebih kecil dari alpha 0,05 maka dapat diambil keputusan bahwa hasil pengujian adalah H0 ditolak dan Ha diterima. Dapat disimpulkan terdapat hubungan tindakan suction terhadap perubahan saturasi oksigen pada pasien Pneumonia yang terpasang ventilator di ruang ICU RSUD Cilincing Tahun 2025. Kesimpulan: Terdapat pengaruh sebelum dan sesudah tindakan suction terhadap perubahan saturasi oksigen pada pasien Pneumonia yang terpasang ventilator di ruang ICU RSUD Cilincing. Dari hasil penelitian diharapkan perawat dapat melakukan tindakan Suction secara berkala untuk pasien dengan gangguan pertukaran gas dan penumpukan sekret (lendir) secara benar.
The Relationship of The Level of Information Satisfaction With The Level of Anxiety of Patients' Families In The Icu Room of Mekarsari Hospital, Bekasi, 2025 Intan Titania Frychillia Dewi; Cusmarih, Cusmarih
Jurnal Ners Vol. 10 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55940

Abstract

Background The Intensive Care Unit (ICU) is one of the important service units in hospitals that provides intensive care. This unit is supported by trained nurses and adequate medical facilities to carry out monitoring, nursing actions and therapy on patients with critical conditions or life-threatening complications, but who still have the possibility of recovery. Patient care in the intensive care unit has a significant impact on the family, because it creates various forms of burden, including physical, social and cultural aspects. Globally, various studies show that more than 40% to 60% of the families of patients accompanying care in the ICU experience anxiety at a moderate to severe level. Family satisfaction reflects acceptance of the services received, especially in the communication aspect. in the Bekasi City Regional Hospital confirmed a similar pattern, where there was a significant relationship between the level of family understanding regarding the patient's condition and the level of anxiety experienced, indicating that a lack of medical information could increase family anxiety. Research Objective: To determine the relationship between the level of information satisfaction and the level of anxiety of the patient's family in the ICU room at Mekarsari Hospital, Bekasi in 2025.Research Method This research design uses a quantitative research design with a correlational descriptive design, using a cross-sectional approach to identify the relationship between the level of information satisfaction and the level of anxiety of the patient's family in the ICU Room at Mekarsari Hospital, Bekasi. The sampling technique in this research was to use a total sampling technique with a total of 37 respondents. Research Results: The research results show that there is no significant relationship between information satisfaction and the anxiety level of patient families in the ICU room at Mekarsari Hospital, Bekasi in 2025, with a p-value of 0.730 (p > 0.05). Conclusions and Suggestions There is no significant relationship between satisfaction with information and the level of anxiety of the patient's family in the ICU room at Mekarsari Hospital Bekasi in 2025. With the results of this research obtained, it is recommended that future researchers can develop this research by adding other variables that have the potential to influence the anxiety level of the patient's family and using methods and a larger sample size to obtain more comprehensive results.
The Effectiveness of Emergency Handling Protocol Education on Family Compliance in Initial Emergency Handling in Buni Bakti Village Rt 10/Rw 18, Babelan District, Bekasi Regency in 2025 Cusmarih, Cusmarih; Amar, Yusuf Saifull
Jurnal Ners Vol. 10 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.56212

Abstract

Emergency situations frequently occur in household settings and require prompt and appropriate responses to prevent serious health consequences. At the community level, families play a vital role as the first responders in emergency situations before professional medical assistance is available. The ability of families to handle emergencies appropriately is closely related to their level of knowledge, understanding, and preparedness regarding emergency handling protocols. However, in many communities, limited access to health education and insufficient exposure to emergency preparedness training may lead to low family compliance in implementing emergency handling protocols. This condition highlights the importance of providing structured emergency handling protocol education to improve family compliance and readiness in managing emergency situations at the household level. This study aimed to determine the effectiveness of emergency handling protocol education on family compliance in emergency situations in Buni Bakti Village, Bekasi Regency. This study employed a quantitative approach using a quasi-experimental design with a one-group pretest–posttest method. The research was conducted in Buni Bakti Village, RT 10/RW 18, Babelan District, Bekasi Regency, from October to December 2025. A total of 47 family respondents were selected using purposive sampling. The educational intervention consisted of counseling, demonstrations, and distribution of educational leaflets regarding emergency handling protocols based on the Indonesian Ministry of Health guidelines. Data were collected using a validated family compliance questionnaire and analyzed using the Wilcoxon Signed Rank Test. The results showed that family compliance before the educational intervention varied, with several respondents categorized as moderately compliant or non-compliant. After the intervention, all respondents demonstrated a high level of compliance. Statistical analysis indicated a significant difference in family compliance before and after the educational intervention (p < 0.05). Emergency handling protocol education was proven to be effective in improving family compliance in managing emergency situations at the household level. The educational intervention enhanced families’ understanding, readiness, and adherence to standardized emergency handling procedures, enabling them to respond more appropriately before professional medical assistance is available. These findings indicate that emergency education plays an important role in strengthening family preparedness and supporting effective emergency management within the community. Based on the findings of this study, it is recommended that emergency handling protocol education be implemented continuously and in a structured manner at the community level. Health workers and local health institutions are encouraged to integrate emergency education programs into routine community health activities to improve family preparedness and compliance. In addition, future studies are suggested to explore the effectiveness of different educational methods, involve larger samples, and include additional variables that may influence family compliance in emergency situations.
Co-Authors Achmad Fauzi Alesandra, Vira Amar, Yusuf Saifull Amjani, Aam Anita Wulandari, Anita Arum, Annisa Sekar Asep Barkah Asnawati . Engkus, Nurhayati Binti Eta Eta Eva Fatimah Fauzan, Joan Fatwa Fitri, Elysa Futriani, Elfira Sri Intan Titania Frychillia Dewi Lusi Noviyanti Mahajer Saipuloh Anwar Mahyar Suara Martadila, Adelia Mugianto, Mugianto Neti Husaeni Nira Khayati Nurhayati, Ela Nuryanti, Euis Perdana, Bima Putra Reza Akmal Wahyudi rini nurdini Rohmat, Liza Azizah Sahrudi Saputra, Andika Rahman Saraswati, Nilam Dwi Sugeng Santoso Sulistiani, Indah Rizqi syafi’I, Arif Ramdhan Tri Mochartini Tuminah Tuminah Ummu Habibah Usrikasetiawati, Ina Vika Chita Via Widhi Widiawati Wirawan, Agum Wulandari, Oktaviani